Individual
RYAN WILLIAM ODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2007 W BROADWAY AVE, SULPHUR, OK 73086-4221
(580) 622-3511
(580) 622-3513
Mailing address
2007 W BROADWAY AVE, SULPHUR, OK 73086-4221
(580) 622-3511
(580) 622-3513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4673
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200199030A
—
OK
Enumeration date
05/17/2008
Last updated
10/22/2025
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